Step-By-Step Leak Diagnosis Request Form
Step-By-Step Leak Diagnosis Request Form and Authorization
Terms and Conditions
Payment and billing information
Do you require water to be hauled in? $450 charge. This fee covers the cost of the water, truck delivery, special scheduling changes needed and other associated costs. This fee is non-deductible for any service that requires water to be trucked in regardless of the water supply company used.
Do you require special scheduling? $75 additional charge. Select YES if you must be on site during the job and require a set time / date.
GENERAL DESCRIPTION OF JOB:
Please fill out credit card information here. Jobs will not be scheduled without a valid credit card number. VISA, MC, Discover will need the 3 digit cvv code on the back of the card. American Express uses the 4 digit code on the front.
Please electronically sign this form below.
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Your legal name
If you have questions about the contents of this document, you can email the document owner.
Document Name: Step-By-Step Leak Diagnosis Request Form
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